2019 Ramadan BIS Babysitting Registration
In order to facilitate a productive and blessed Ramadan for all of our community members, BIS has established clear rules and regulations for our youngest community members. This is not meant to be a burden on parents but will serve to ensure the health and safety of your children in a stimulating Islamic environment allowing you to focus on your own worship.

1. Childcare will be provided for children ages 6 weeks - 10 years throughout the month during Isha and Tarawih prayers. Children must attend the babysitting room designated for their age only.

2. All children participating in the babysitting program must be registered for the program. Registration must be completed before your child attends babysitting. Children will not be allowed to "drop in" without a completed registration form.

3. Children must be signed in daily and may only leave babysitting with a sibling or relative over 13 years old. Anyone picking up your child must be listed on the registration form. There will be no exceptions to this rule.

4. Children may be dropped off at 9:20 and must be picked up immediately following Tarawih (11:00 pm).

5. Children are not allowed to be left unattended during prayer under any circumstances and all children not praying must be registered in the babysitting program. No children will be allowed outside of the masjid or in the masjid foyers or hallways without a parent or guardian.

6. Children must respect the rules of the babysitting and the babysitter or they will not be allowed to continue in the program.

7. Parent or guardian must be present at the masjid the entire time their child is in babysitting.

In addition to the above guidelines, there will be a REFUNDABLE babysitting deposit of $20 for the first child, $10 for the second child, and $5 for the third child - no charge for additional children. If the above rules are followed consistently, the entire deposit will be returned to you at the end of the month.

I, hereby release and waive against all claim of Birmingham Islamic Society, its agents, employees,volunteers, representatives, officers, directors, from injuries or damages arising from injuries relating to my child’s or children’s participation at the babysitting program. I further agree to indemnify, save and hold indemnities harmless from any loss, liability, attorney fees, damage or cost that they (or any of them) may incur out of or related to the babysitting services offered by BIS. In the case of a medical emergency or behavioral issue, I understand that the babysitting service will act on my behalf if attempts have been made to contact me and I wasn’t available. *
Child's Name *
Your answer
Date of Birth *
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Alternative Contact *
Your answer
Alternative Phone Number *
Your answer
Food Allergies *
Your answer
Medical Conditions *
Your answer
Siblings (names and ages) *
Your answer
Child may be released to the following people: *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service